Voluntary Benefits

Health Care FSA

Important note regarding your Cigna FSA card

Your 2019 Cigna FSA card will no longer work as of Jan. 1, 2020. If you have money left in your account, and you use those funds, you will need to file a paper claim with Cigna. Claim forms can be found under 2019 forms on the Benefits website at www.HISDBenefits.org. You have until March 15, 2020, to use the funds and until May 15, 2020, to file your paper claims for any unused funds from 2019. If you don't use them, you lose them! You may contact Cigna at 800-224-6224 for 2019 FSA questions.

Money you set aside for health care expenses

A healthcare FSA lets you set aside pre-tax dollars to pay for eligible health care expenses, even for dependents not covered under your HISD medical plan.

It’s available to participants in all plans.

You can contribute up to $2,750 per year through automatic payroll deductions over 24 pay periods.

The full amount you set aside is available to you from the day your coverage begins. Since your contribution is pre-tax, it takes less out of your paycheck.

Other eligible health costs that are not covered by your health care plan (for example, dental costs not covered by your dental plan)

Prescription drugs

Acupuncture

Hearing aids

Individual psychiatric and psychological counseling

Lasik or other vision correction surgery

Special medical equipment

Special education devices

Smoking-cessation programs or related prescription drugs

Weight-loss programs for individuals diagnosed as obese

Over-the-counter medical supplies and products, such as:

Bandages and wraps

Braces and supports

Catheters

Contact lens solutions and supplies

Contraceptives and family planning items

Denture adhesives

Insulin and diabetic supplies

What's not covered

Cosmetic surgery

Health plan premiums

Vitamins

Weight reduction programs (unless prescribed by a physician for obesity)

Over-the-counter smoking cessation medications, such as nicotine gum and patches

Rules and restrictionsIn return for the favorable tax advantages, the IRS has strict rules on these accounts.

You can’t change the amount you contribute until the next plan year, unless you have a qualified life event

You can’t transfer money from this account to another FSA account

To be reimbursed, you must be enrolled in the FSA when you incur expenses

You need to keep all of your records to substantiate all claims

You may use your FSA funds for expenses incurred through March 15 of the following year, and you have until May 15 of that year to submit documentation for those expenses

You lose any funds that you don’t spend by March 15 of the following year

Determining your contributionOnly list expenses that are not paid through your medical, dental, vision, cancer and specified diseases, hospital indemnity, other district health care coverage selections or any other health plan. Using last year’s expenses can help. You can also use the Health Care FSA worksheet Estimate from the date your coverage begins if you’re hired or if you become eligible for benefits during the year.

Please Note: Effective January 1, 2017, HISD no longer offers the HealthFund. You may continue to use any funds you have left over from previous years to pay for eligible expenses as long as you are enrolled in an HISD medical plan. You use your HealthFund first to pay for all eligible health care costs, including services under your medical plan. After you have used all the money in your HealthFund, you may use your FSA debit card to cover medical expenses.

How it works (2019 Cigna Claims)After enrollment, we begin automatically deducting your contribution from your pay. Your health care FSA can reimburse you up to your maximum planned contribution at any time during the year.

You can submit claims for reimbursement from your contributions online here, or by mail using this claim form.

If you need help with the claims process call Cigna at 800-Cigna24 (244-6224) available 24/7.

For helpful resources, visit myCigna or call Cigna customer service at 800-Cigna24 (244-6224), 24 hours/day, 7 days/week. For more information on tax-deductible expenses, visit the IRS online or call 800-TAX-FORM (800-829-3676). If you’re not sure whether an expense is eligible, check with your tax advisor.

2019 Healthcare FSA account calendarJanuary 1, 2019 – March 15, 2020

Deadline to submit documentation for 2019 healthcare FSA expenses is May 15, 2020.If you get close to the March 15 date and have money left in your health care FSA, use tit to stock up on covered over-the-counter products listed above.

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